Loading...
HomeMy WebLinkAbout467921 3M COMPANY - INSURANCE CERTIFICATEA� �® CERTIFICATE OF LIABILITY INSURANCE page 1 of 1 02/2 /2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Willis of Minnesota, Inc. 26 Century Blvd. P. O. Box 305191 Nashville, TN 37230-5191 CONTACT NAME: PHONE FAX AC NO EXT: 877-945-7378 A No: 888-467-2378 ADDRE MA CertifiCates@Wi111S.COm INSURER(S)AFFORDING COVERAGE NAIC N INSURERA:Old Republic Insurance Company 24147-001 INSURED 3M Company INSURER B: INSURERC: 3M Insurance Department Bldg 224-5S-29 St. Paul, MN 55144 INSURERD: INSURER E: INSURER F: " I COVERAGES CFRTIFIr'ATF NIIMRFR- 155117f,2 RFVIQInN al""011:0• THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INTR TYPE OF INSURANCE sRADD SUB POLICY NUMBER Pn10LICV EFF POLICY EXP LIMITS A GENERAL LIABILITY MWZY 59131 3/1/2011 3/l/2014 EACH OCCURRENCE $ 5,000,000 PREMISES(Eaoccurence) $ 1 1 000 000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR MED EXP(Anyone person) $ 10.000 PERSONAL&ADV INJURY $ 51000,000 GENERAL AGGREGATE $ 5,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OPAGG $ 5,000,000 POLICY 7 PROT LOCI I S A AUTOMOBILE LIABILITY MWTB 21146 3/1/2011 3/1/2014 COMBINED SINGLE LIMIT (Ea accident) S 2,000,000 X BODILY INJURY(Per person) $ ANY AUTO AUTOS OS AUTOS SCHEDULED AU BODILY INJURY(Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTYDAMAGE Per accident $ UMBRELLA LAB OCCUR EACHOCCURRENCE $ AGGREGATE $ EXCESS LAB CLAIMS -MADE DIED I RETENTIONS $ ' p WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECU I VE❑ OFFICER/MEMBER EXCLUDED9 JMandatoryinNH) Yes. describe under N/A MWC116992 00 3/1/2011 3/1/2012 X I WRYLIMIT E.L. EACH ACCIDENT $ 2,000,000 E.L. DISEASE - EA EMPLOYEE $ 2,000,000 E.L. DISEASE - POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (Attach Acord 101, Additonal Remarks Schedule, it more space is required) Regarding "General Liability" only, 3M Company hereby grants Additional Insured Vendor status to City of Fort Collins , limited to the conditions and terms of the Services Agreement - SA7191-City of Fort Collins, Colorado dated 2/l/2011, and limited to the operations of 3M Company. Additional Insured status is limited to product liability and will only become effective if a lawsuit is commenced naming City of Fort Collins as a defendant and the claim is based on a 3M product. This Certificate of Liability is valid from 2/1/2011 to 1/31/2012. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE City of Fort Collins 215 North Mason Street Fort Collins, CO 80524 Coll:3277349 Tpl:1225264 Cert:15t33162©1988-1010ACORD CORPORATION- All riahtsrPcarveri ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD